Individual
CHANIQUA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
184 AZALEA CIR, ROMEOVILLE, IL 60446-5272
(708) 513-5695
Mailing address
184 AZALEA CIR, ROMEOVILLE, IL 60446-5272
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.015646
IL
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/27/2023
Last updated
03/28/2024
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